Chris Munt Cherylin Fletcher State Of Play In Nhs

The state of play in NHS IT Chris Munt Cherylin Fletcher Royal Marsden NHS Trust

Agenda: Part I ,[object Object],[object Object],[object Object],[object Object],[object Object]

Cherylin Fletcher Deputy Director of ICT The Royal Marsden Hospital Information System The State of Play in NHS IT

Electronic Patient Record (EPR) Demographics OP visits Tests & results IP stays Treatments Surgery Notes Palliative care etc Additional Specialised Data Critical Care Unit Diatetics Massage Physio BASO equivalent Genetics research etc Per patient Clinical Workstation Clinical Research Referrals Registration OP IP Case notes Biochemistry Haematology Histopathology Cytology Radiology Radiotherapy Theatres Pharmacy Transport Re-hab Private patients etc Hospital # Staff/System Data Manpower (HR) System Admin Service Agreements etc Trust-wide Hospital Information System (HIS) Management Information

Most of the rest of the NHS ,[object Object],[object Object],[object Object],[object Object],[object Object]

National Spine GPs Guys & St Thomas Royal Marsden Epsom & St Helier Staff Records Web site Choose & Book Demographics www.royalmarsden.nhs.uk NHS Net Digital Dictation Intranet e-Mail Interfaces & Other Systems Non-clinical Finance Human resources Occupational health Access control Charity donations Complaints management Catering Drug Stock Control Micro-biology Picture Archiving Hospital Information System (HIS) Demographics OP visits Tests & results IP stays Treatments Surgery Notes Palliative care etc MRI scanners Patients HR Publications X-ray machines

How can NPfIT help? ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

LPfIT Acute solution from Cerner ** ** ** Not relevant to the Royal Marsden

Where do we want to be? ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

The Royal Marsden Hospital Information System Cherylin Fletcher Deputy Director of ICT

Agenda: Part II ,[object Object],[object Object],[object Object]

RMH IT – History (80s) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

RMH IT – History (80s) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

RMH IT – History (90s) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

RMH IT – History (00s) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

RMH IT – Architecture ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

RMH IT – Architecture ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

RMH IT – Development ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

ETHOS: HOS Component ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

ETHOS: HOS Component ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

ETHOS ,[object Object],[object Object]

ETHOS: SQL/RDBMS Component ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

ETHOS: SQL/RDBMS Component ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

ETHOS Entity: PATIENT ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

ETHOS Entity: DATE ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

ETHOS Entity: ADMISSION ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

ETHOS Entity: DIAGNOSTICS ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

ETHOS Entity: EVENTS ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

ETHOS Entity: EVENTS (1) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

ETHOS SQL: Sequences ,[object Object],[object Object],[object Object],[object Object],[object Object]

RMH IT/ETHOS – Why Caché? ,[object Object],[object Object],[object Object]

RMH IT/ETHOS – Why Caché? ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

RMH IT/ETHOS – Why Caché? ,[object Object],[object Object],[object Object],[object Object],[object Object]

RMH IT/ETHOS – Why Caché? ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Free Alternatives ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Free Alternatives ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Traditional Project Lifecycle ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Systems Development ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

HTTP ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Caché in Healthcare IT ,[object Object],[object Object],[object Object],[object Object],[object Object]

Chris Munt Cherylin Fletcher State Of Play In Nhs

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